Active NPI
Felix J Derousselle
- Counselor
- Oklahoma City, OK
National Provider Identifier
1134548670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 310 NE 28TH St
Sute 204
Oklahoma City, OK 73105-2806 - Phone
- (405) 601-4565
- Fax
- (405) 601-4579
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
310 NE 28TH St
Sute 204
Oklahoma City, OK 73105-2806
Mailing address
4833 N Blackwelder Ave
Apt 120
Oklahoma City, OK 73118-2008
Phone (405) 850-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanai P, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1811238868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1134548670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 N BLACKWELDER AVE",
"address_2": "APT 120",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182008",
"telephone_number": "405-850-6460",
"fax_number": "405-601-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 NE 28TH ST",
"address_2": "SUTE 204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731052806",
"telephone_number": "405-601-4565",
"fax_number": "405-601-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROUSSELLE",
"first_name": "FELIX",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.